SOME ASPECTS OF PRIMARY POSTTRAUMATIC EYEBALL REMOVAL

The purpose of the work is to evaluate the characteristics of primary posttraumatic eyeball removal in the adult population of the Krasnoyarsk Territory. Material and methods. The analysis of 87 patients’ medical documents from the Krasnoyarsk Regional Ophthalmologic Clinical Hospital has been carried out since 2003 till 2016; the primary posttraumatic eyeball removal was performed. Gender, age, place of residence, social and labor status of patients, the type and nature of the injuries that caused the eyeball removal as a primary surgical intervention have been taken into account. Results and discussion. Between 2003-2016 the proportion of primary posttraumatic removal of the eyeball was ranged from 9 % to 42.9 % of all eye removal procedures due to trauma., Their were 73 (83.9 %) men and 14 (16.1 %) women among 87 patients aged 18-88 years. Distribution by social status came up to unemployed citizens (48.3 %), officially employed - 28.8 % and pensioners - 22.9 %. Home accident trauma was more common (68.9 % of cases), criminal (24.1 %) and industrial (6.9 %) injuries were less often. The period from the eye injury moment till its removal was 0-90 days. The main causes of primary posttraumatic eye removal were eyeball destruction in 65.5 % of cases, panophthalmia was in 19.6 %, eye painful subatrophy - in 14.9 % of cases. Conclusion. Primary posttraumatic eyeball removal can be considered as a model of the entire population of post-traumatic enucleations. Specific gravity (23.9 %), increase in the frequency of primary post-traumatic eyeball removal can influence on the waiting time for traumatic enucleation in general. In the overwhelming number of injured patients, the primary removal of the eyeball is the consequence of the injury severity, in 34.5 % of cases it is due to the imperfection of medical care at various stages of its delivery.

primary enucleation, evisceration, posttraumatic enucleation of the eye, eye traumatism, ophthalmotravmatology, anophthalmus

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